KELLY PROVINES

Behavior Technician

Active Individual
NPI: 1124857198

Practice Address

4688 ONTARIO MILLS PKWY
Ontario, CA 91764

Phone: (909) 476-5747

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1124857198 is the National Provider Identifier for KELLY PROVINES, a Behavior Technician provider located in Ontario, CA. This NPI was enumerated on July 29, 2024.
KELLY PROVINES practices at 4688 ONTARIO MILLS PKWY, Ontario, CA 91764.

Quick Facts

NPI
1124857198
Type
Individual
Enumerated
Jul 29, 2024
Last Updated
Jul 29, 2024

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